Audit Trail Messages and Descriptions

Message Number	Message Description
000	CLAIM ACCEPTED This claim was accepted by the Cahaba Medicare Part A processing system.
001	SUBMITTER ETIN FIELD OVERFLOW / NM109(41) Employer's Tax ID number contains too many characters.
002	SUBMITTER ID NOT ON FILE This submitter ID is not on file.
100	MED A - PRV LVL FLD OVERFLOW - XXXXXXXXXXXXXXXXXXXX / XXXXXXXXXX Indicated field contains too many characters.
101	Deleted 08/27/10.
102	MED A PROVIDER NOT ALLOWED FOR SUBMITTER The provider number billed is not set up with the submitter ID used.
105	INVALID NPI NUMBER - XXXXXXXXXX NPI submitted was invalid
106	EIN OR SSN REQUIRED WHEN NPI USED An NPI was submitted without a corresponding EIN or SSN in a REF segment in the same loop.
200	SUB LVL FLD OVERFLOW - XXXXXXXXXXXXXXXXXXXX / XXXXXXXXXX The indicated field contains too many characters.
201	INVALID OR MISSING HIC NUMBER Beneficiary's Medicare Number was missing or invalid. For an explanation of HIC numbers see this article from CMS: http://www.cms.hhs.gov/manuals/downloads/ge101c02.pdf
202	INVALID HIC NUMBER PREFIX The HIC number submitted contained a prefix which was invalid. For an explanation of HIC numbers see this article from CMS: http://www.cms.hhs.gov/manuals/downloads/ge101c02.pdf
203	INVALID HIC NUMBER SUFFIX The HIC number submitted contains an invalid suffix. For an explanation of HIC numbers see this article from CMS: http://www.cms.hhs.gov/manuals/downloads/ge101c02.pdf
204	INVALID SEX FOR HIC SUFFIX Suffix used on submitted HIC number is invalid for the beneficiary's gender. For an explanation of HIC numbers see this article from CMS: http://www.cms.hhs.gov/manuals/downloads/ge101c02.pdf
207	INVALID PATIENTS SEX CODE Gender code submitted for beneficiary was not equal to M, F, or U.
208	SUBS ZIP CD MISSING OR INVALID Patient's zip code is either missing or not valid.
209	PATIENT LOOP SHOULD NOT BE SENT FOR MEDICARE 2000C loop was submitted. Since the patient is always the insured in Medicare this loop should not be submitted.
210	CLAIM FILING INDICATOR (SBR09) SHOULD BE MA The value submitted in the SBR09 segment was not equal to MA, which indicates the beneficiary does not have Medicare Part A.
300	Deleted 08/27/10
301	INVALID BILL TYPE First digit of Type of Bill (TOB) must be 1, 2, 7, or 8.
303	INVALID CONDITION CODE=(XX) Condition code submitted is not valid.
304	Deleted 8/12/2010
305	Deleted 8/12/2010
306	Deleted 8/12/2010
307	Deleted 8/12/2010
308	Deleted 8/12/2010
309	INVALID COND CODE FOR CORRECT BILL XX7 Type of Bill code requires D0 through D4, or D7 through D9, or E0 condition code.
310	INVALID TYPE BILL FOR CORRECT BILL Condition codes D0 through D4, or D7 through D9, or E0 requires type of bill code xx7.
311	INVALID ORG / ICN FOR CORRECT BILL Original claim number was not submitted.
312	INVALID COND CODE FOR CANCELD BILL Type of Bill xx8 requires D5 or D6 condition code.
313	INVALID TYPE BILL FOR CANCELD BILL Condition codes D5 or D6 require xx8 Type of Bill.
314	INVALID ORG / ICN FOR CANCELD BILL Original claim number was not submitted.
315	MISSING STATEMENT FROM DATE Statement ‘from’ date missing.
316	MISSING STATEMENT THRU DATE Statement ‘thru’ date missing.
317	STATEMENT FROM DATE AFTER THRU DATE Statement ‘from’ date is later than the ‘thru’ date.
318	INVALID OR MISSING BIRTH DATE Beneficiary's submitted date of birth is either missing or invalid.
319	BIRTH DATE IS AFTER SERVICE DATE Beneficiary's submitted date of birth is later than the date of service.
320	BIRTH DATE IS AFTER CURRENT DATE Beneficiary's submitted date of birth is later than the date the claim was submitted.
321	ADMIT DATE AFTER STMT FROM DATE Admit date is later than statement ‘from’ date.
322	Deleted 08/27/10
323	ATTENDING PHYS NPI MISSING OR INVALID The NPI of the attending physician was either missing or invalid.
324	OPERATING PHYS NPI MISSING OR INVALID The operating physician's NPI was either missing or invalid.
325	PRINCIPAL DIAGNOSIS CODE MISSING The principal diagnosis code was not submitted in the HI01 segment.
326	ADMITTING DIAGNOSIS CODE MISSING The admitting diagnosis code was not submitted in the HI02 segment.
327	DIAG CD NOT ON FILE OR INACTIVE (XXXXXX) Diagnosis code submitted is invalid or not active on the date of service submitted.
328	PROC CD NOT ON FILE OR INACTIVE (XXXXXXX) Procedure code submitted is either invalid or inactive on the date of service submitted.
329	SURGICAL DATE OMITTED OR INVALID Surgical date was omitted or invalid.
330	SURG DATE NOT WITHIN SERVICE DATES Date of surgery was outside of the service dates submitted.
333	INVALID PAT STATUS FOR TYPE BILL Patient status submitted is invalid for the type bill submitted.
334	Deleted 08/27/10
335	INVALID TYPE OF ADMISSION Type of admission code submitted in CL101 is invalid.
336	INVALID SOURCE OF ADMISSION Admission source code submitted in CL102 is invalid.
337	MEDICAL RECORD NUMBER REQUIRED The medical record number was required but not submitted.
338	COVERED DAYS NOT EQUAL STMT PERIOD The covered days are not equal to the number of days in the statement period.
339	MISSING VALUE CD FOR COINSURANCE The value code for coinsurance was not submitted.
340	MISSING VALUE CD FOR LIFE RESERVE The value code for life reserve was not submitted.
341	SURGICAL DATE BUT NOT PROC CODE A date of surgery was submitted but the procedure code for the surgery was not.
342	ZIP CODE IN VALUE AMT FIELD INVALID Value code A0 indicates a zip code in the amount field, but the zip code does not conform to zip code format.
343	VALUE CD 44 REQ OTHER MSP VALUE CD Value code 44 was submitted without another MSP value code.
344	VALUE CD 12 REQUIRES BENE AGE > 64 Value code 12 was submitted for a beneficiary who was not 65 years old or older.
345	VALUE CODE 43 REQUIRES PAT AGE < 65 Value code 43 was submitted for a beneficiary who is not yet 65 years old.
346	VALUE CD REQUIRES OCCURRENCE CODE Value code 14 was submitted without occurrence code 01 or 02, or value code 15 was submitted without occurrence code 04.
347	PRIMARY PAYER NAME REQUIRED The name of the primary payer is required and was missing
348	PRIMARY PAYER CONTRACT REQUIRED Patient's contract number for the primary payer is required and was not submitted on the claim.
349	PRIMARY PAYER ADDRESS REQUIRED Address of primary payer is required and was missing
350	INVALID MSP PATIENT RELATIONSHIP Patient relationship to insured is required and was missing.
351	VAL AMT 44 MUST BE > 0 & < TOT CHG Value amount 44 must be more than zero and less than the total charge.
352	MSP VAL CD XX REQS OCCUR CD YY The value code submitted requires occurrence code specified.
353	AMBULANCE OCCUR CD REQ VALUE CD A0 Ambulance occurrence code submitted requires value code A0.
354	THRU DATE PAST 10 YR FILING LIMIT Through date is older than the ten year filing limit.
355	INV CLM FILING IND FOR MSP VAL CD (XX) Claim filing indicator used is invalid for the MSP value code used.
356	OCCUR CD 24 REQ WHEN MSP VAL AMT = 0 Occurrence code 24 is required when the MSP value amount equals 0.
357	PRI DIAG NEEDS V5789 OR DETOX PROC Primary diagnosis code submitted needs to be billed with diagnosis code V5789 or a detox procedure.
358	PAT RELATION XX INVALID WITH VAL CD YY Patient relation code indicated is invalid with the value code indicated.
359	INVALID PATIENT STATUS FOR TYPE BILL Patient status submitted is invalid for the type of bill submitted.
400	Deleted 08/27/10
401	REVENUE CODE XXXX INVALID TO SUBMIT Revenue code indicated is invalid on a Medicare Part A claim.
402	ESRD CANT BILL LAB REV CD 300-399 Hospital number 01-25xx cannot bill 3xx revenue codes.
403	ADMIT DTE > FROM DTE FOR PHYS THERAPY Admit date was greater than the From Date for physical therapy.
404	PHYS THERAPY NEEDS OCCUR CODE 11 Physical therapy was submitted without an occurrence code of 11.
405	ONSET > FROM DATE FOR PHYS THERAPY Onset date is greater than the from date for physical therapy.
406	PHYS THERAPY NEEDS OCCUR CODE 35 Physical therapy was billed without the occurrence code 35.
407	PHYS THERAPY START DTE > THRU DTE Physical therapy start date is greater than the physical therapy thru date.
408	ONSET DATE > PHYS THERAPY START DATE Onset date is greater than the physical therapy start date.
409	PHYS THERAPY NEEDS VALUE CODE 50 Physical therapy was submitted without the value code 50.
410	FILE DME CHARGES VIA MEDICARE PART B Chargers for DME need to be filed with the DMERC.
411	NO CHARGE BILLED FOR REV CODE XXXX Revenue code indicated was billed with no charges.
412	REVENUE CODE XXXX REQUIRES UNITS Revenue code indicated requires the number of units.
413	REV CODE 55X NOT ALLOW WITH TYPE BILL Revenue code 55x is not allowed with TOB 32x, 33x, 34x, 71x, 74x, or 75x.
414	INVALID REVENUE CODE FOR SNF Revenue code submitted is not valid for Skilled Nursing Facility charges.
415	REV CD 560/COND CD 41 NOT ALLOW INPAT Revenue code 560 and/or condition code 41 were billed on a claim for inpatient services.
416	REV CD XXXX NEEDS DIAGNOSTIC HCPCS Revenue code indicated needs to be billed with a diagnostic procedure.
417	REVENUE CODE XXXX INVALID WITH TOB XXX Revenue code indicated is invalid with the type-of-bill code indicated.
418	REVENUE CODE XXXX CHGS MUST BE NONCOV Charges for indicated revenue code must be non-covered.
419	REV CD XXXX NOT BILLABLE WITH TOB 721 Revenue code indicated is not billable with type-of-bill code 721.
420	AMBULANCE HCPCS REQ QM/QN MODIFIER Ambulance procedure code billed requires A QM or QN modifier and this was missing.
421	AMBULANCE REQUIRES 2 MODIFIERS Ambulance procedure code billed requires 2 modifiers.
501	SUBMITTED TOT CHG NOT = CALC TOT CHG The total submitted charge for the claim does not equal the actual total charge of the line items on the claim.
502	SUBMITTED NCOV CHG NOT = CALC NCOV CHG The total submitted non-covered charge is not equal to the actual total charge of the non-covered line items on the claim.
503	VALUE CODE 05 CHG > TOTAL CHGS The total for value code 05 is greater than the total charges for the claim.
504	NONCOV + DEDUCT + COINS > TOT CHARGES Non-covered charges, plus deductible, plus coinsurance, are greater than the total charges for the claim.
505	Deleted 08/27/10
506	Deleted 08/27/10
507	TYPE BILL NEEDS SURG RELATED REV CODE The type of bill submitted needs a surgery-related revenue code.
508	TYPE BILL NEEDS SURG RELATED HCPCS The type of bill submitted needs a surgery-related procedure code.
509	REV CODE 36X NEEDS A SURGICAL HCPCS Revenue code 36X was submitted without a surgical procedure code.
510	MORE SPECIFIC DIAD/PROC CODE NEEDED A more specific diagnosis or procedure code is needed. If required to bill a miscellaneous procedure code (one ending in 99) then a related NTE segment giving a description of the procedure must be sent in the same 2400 loop as the code.
511	REV CODE NEEDS RADIOLOGY HCPCS CODE Revenue code billed requires a radiology code to be billed with it and this was missing.
512	INVALID MAMMOGRAPHY REV CD/HCPC/DIAG A mammography revenue code, procedure code, or diagnosis was submitted.
513	INVALID TOB FOR VALUE CODE A4 Value code A4 was billed with a type-of-bill code that is inappropriate.
514	VALUE CD A4 REQUIRES REV CD 250 Value code A4 was billed without revenue code 250.
515	VALUE CD A4 CHGS > REV CD 250 CHGS Value code A4 charges were greater than revenue code 250 charges.
777	APASS MODULE REJECTION An unspecified error has occurred. For more information on the error contact Cahaba EDI services.
888	INSTREAM REJECTION An error involving ANSI 837 requirements has occurred. For help in locating the area where the error occurred in the file see this article.
998	BATCH REJECTED - DUPLICATE BATCH This batch is an exact duplicate of a previously submitted batch. If this batch was resubmitted because of errors then change the value in the BHT02 from 00 to 18 to avoid dupe checking.
999	BATCH ACCEPTED - NO DUPLICATE FOUND The batch was accepted. Claims inside the batch are still subject to editing.

Page last updated: August 31, 2010

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Audit Trail Messages and Descriptions